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MKSAP Quiz: 2-month history of fatigue, cold intolerance

A 35-year-old woman is evaluated for a 2-month history of fatigue, cold intolerance, constipation, and menorrhagia. She has no recent history of iodinated contrast or iodine supplementation. Following a physical exam and lab studies, what is the most appropriate next diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/30/3.htm
30 Aug 2022

MKSAP Quiz: Evaluation for influenza immunization

A 49-year-old man is evaluated for influenza immunization. Two weeks ago, he underwent surgical resection for stage III colon cancer. He will begin a 3-month course of adjuvant chemotherapy in 3 weeks. What is the preferred influenza immunization strategy?
https://immattersacp.org/weekly/archives/2022/05/24/3.htm
24 May 2022

MKSAP Quiz: Follow-up visit for rheumatoid arthritis

A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022

MKSAP Quiz: Evaluation for dementia

A 72-year-old man is evaluated for dementia with fluctuations in attentiveness, visual hallucinations, and slowness of movements over the past year. He has also acted out his dreams in his sleep a few times over the last 2 years. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/07/26/3.htm
26 Jul 2022

MKSAP Quiz: Evaluation for worsening choking

A 75-year-old man is evaluated for choking that started 3 months ago and has progressively worsened. Parkinson disease was diagnosed 3 months ago. His only medication is carbidopa-levodopa. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/12/07/3.htm
7 Dec 2021

MKSAP Quiz: Follow-up for stable chronic kidney disease

A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021

MKSAP Quiz: Follow-up visit for asthma

A 54-year-old man with a 5-year history of persistent asthma is evaluated during a follow-up visit. He has had one exacerbation within the last year, which was treated with glucocorticoids. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/11/01/3.htm
1 Nov 2022

MKSAP Quiz: 2-year history of migraine

A 20-year-old man is evaluated for a 2-year history of migraine that began when he started college. Migraine episodes occur 6 to 12 days per month, with more frequent episodes associated with increased stress from difficult assignments or final examinations. All physical examination findings, including vital signs, are unremarkable. What is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2024/03/12/3.htm
12 Mar 2024

MKSAP quiz: Appropriate treatment for primary hyperaldosteronism

A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022

MKSAP Quiz: Follow-up for positive HIV test

A 35-year-old man undergoes follow-up evaluation for a positive HIV screening test obtained 3 days ago. He is ready to start treatment. HIV testing 1 year ago was negative. He takes no medications. The physical examination is normal. Following immunoassays, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/07/12/4.htm
12 Jul 2022

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